Organization
ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEE NEWMAN RPT (PRESIDENT)
(816) 220-0223
Entity
Organization
Contact information
Practice address
220 NW RD MIZE RD, BLUE SPRINGS, MO 64014-2527
(816) 220-0223
(816) 220-9099
Mailing address
220 N.W. R.D. MIZE ROAD, SUITE #B203, BLUE SPRINGS, MO 64014-2540
(816) 220-0223
(816) 220-9099
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L560000A
MEDICARE GROUP NUMBER
MO
Enumeration date
09/06/2007
Last updated
05/25/2022
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